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1861903619
ALLEN WILSON
KLAMATH FALLS, OR
NPI
1861903619
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2017-10-19
Last Update Date
2017-10-19
Business Address
ALLEN WILSON
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601-6418
Phone number: 541-883-1030
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Mailing Address
ALLEN WILSON
2210 N ELDORADO AVE
KLAMATH FALLS, OR 97601-6418
Phone number: 541-883-1030
Copy
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